INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on October 9, 2024, by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection WBCV6701 Step By Step LLC was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this inspection and a plan of correction is required.
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Plan of Correction
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§ 717.24 LICENSURE Medication control and self-administration
§ 717.24. Medication control and self-administration. The licensee shall develop and implement written policies and procedures on the use of prescription and over-the-counter medications by residents, which must include:
(1) Self-administration of medication for residents who take medication.
(2) Safe storage of medication by the drug and alcohol recovery house and residents and procedures to address loss, theft, abandonment or misuse of medications. The policy must provide that controlled substances stored at the drug and alcohol recovery house will be kept in a locked container.
(3) Safe disposal of unused, expired or abandoned medication, in accordance with State and Federal regulations.
(4) Emergency procedures if an adverse medication reaction or overdose occurs on premises. The licensee shall have and make available overdose reversal medication on the premises of the drug and alcohol recovery house at all times.
(5) Prohibition on sharing prescription medication.
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Observations
Based on review of safe storage of medication the recovery house failed to provide safe storage for medicationsFindings: Medications were left out in several resident rooms.These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
On October 9, 2024 the house manager and house lead discussed to lock up medication in the lock box or put in the safe depending on what medication they are prescribed. In order for this not to occur again the house manager will do a walk through evry two weeks. |